BRIAN LORIN BULLOCK CRNA
NPI 1548600745
Nurse Anesthetist, Certified Registered in Lewiston, ID

Active since July 02, 2013Accepts Medicare Assignment
415 6TH ST, LEWISTON, ID 83501(239) 896-3934 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2021, Jun 18, 2019 (2 updates tracked since 2019).

About Brian Lorin Bullock Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN LORIN BULLOCK CRNA (NPI 1548600745) is an individual nurse anesthetist, certified registered in Lewiston, Idaho, licensed in Utah (6631838-4406) and active in the NPI registry since July 2013. He is affiliated with American Fork Hospital, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1548600745
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBRIAN LORIN BULLOCKCredential: CRNA
Location Address415 6TH STLewiston, ID 83501-2431
Mailing Address1827 Birch DrLewiston, ID 83501-6060 · (239) 896-3934
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 2, 2013
Last NPPES UpdateNovember 15, 20212 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
NPI 1548600745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in UT · 6631838-4406 Licensed in NC · 261722 Licensed in ID · RNA-932A
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

415 6TH ST, Lewiston, ID 83501

Secondary Practice Locations 2

Location 1131 Medical Park Rd, SUITE 308Mooresville, NC 28117-8522 · Phone (704) 662-0876 · Fax (704) 662-0875
Location 2170 N 1100 EAmerican Fork, UT 84003-2096 · Phone (239) 896-3934

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brian Lorin Bullock Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395979058
PECOS Enrollment IDI20190627001320

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Orem Community Hospital

Acute Care Hospitals · Orem, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460043
Location331 North 400 WestOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
415 6TH ST
LEWISTON, ID 83501
Radiology (Radiological Physics)
415 6TH ST
LEWISTON, ID 83501
Internal Medicine (Medical Oncology)
415 6TH ST
LEWISTON, ID 83501
Anesthesiology
415 6TH ST
LEWISTON, ID 83501
Internal Medicine
415 6TH ST
LEWISTON, ID 83501
Radiology (Body Imaging)
415 6TH ST
LEWISTON, ID 83501
Registered Nurse (Registered Nurse First Assistant)
415 6TH ST
LEWISTON, ID 83501
Psychiatry & Neurology (Psychiatry)
415 6TH ST
LEWISTON, ID 83501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Bullock's NPI number?

The NPI number for Brian Bullock is 1548600745. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Where is Brian Bullock located?

Brian Bullock practices at 415 6th St, Lewiston, ID 83501. The listed phone number is (239) 896-3934.

What is Brian Bullock's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Brian Bullock enrolled in Medicare?

Yes. Brian Bullock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brian Bullock accept?

Health plans from Select Health list Brian Bullock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Bullock affiliated with any hospitals?

According to CMS data, Brian Bullock is affiliated with American Fork Hospital and Orem Community Hospital.

When was this NPI record last updated?

The NPPES record for Brian Bullock was last updated on November 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.